Evidence map›Paper›PMID 23198713›Full record

ArticleThe American journal of managed care2012

Utilization of HER2 genetic testing in a multi-institutional observational study.

Katrina A B Goddard, Erin J Aiello Bowles, Heather Spencer Feigelson, Laurel A Habel, Sharon Hensley Alford, Catherine A McCarty, Larissa Nekhlyudov, Adedayo A Onitilo, Alanna K Rahm, Jennifer A Webster

Open access · greenAbstract read
In one paragraph

Article in The American journal of managed care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Katrina A B GoddardCenter for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Ave, Portland, OR 97227, USA. katrina.ab.goddard@kpchr.org
Erin J Aiello Bowles
Heather Spencer Feigelson
Laurel A Habel
Sharon Hensley Alford
Catherine A McCarty
Larissa Nekhlyudov
Adedayo A Onitilo
Alanna K Rahm
Jennifer A Webster
Kaiser Permanente · USGroup Health Cooperative · USHarvard Vanguard Medical Associates · USHenry Ford Health System · USKaiser Permanente Center for Health Research · US

Funding

The HMO Cancer Research Network (CRN)U19CA079689 · NCI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI WAGNER, EDWARD H · 1999 to 2011
$62.6M
NCI NIH HHS U19 CA079689NCI NIH HHS U19 CA 79689
6 · The paper itself

Abstract

introductionHuman epidermal growth factor receptor 2 (HER2) expression is amplified in about 20% of breast cancer tumors, and evaluation of HER2 status should influence therapy selection. A critical gap in our knowledge is the real-world implementation of HER2 testing and its impact on treatment decisions for women diagnosed with breast cancer.

objectivesTo assess use of HER2 testing, to describe characteristics of patients who do or do not receive HER2 testing, to describe which HER2 tests were used (fluorescence in situ hybridization or immunohistochemistry), and to evaluate trastuzumab use as a function of HER2 results. STUDY

designThe population included 6460 women diagnosed with invasive breast cancer between 1999 and 2007 at 8 geographically distributed Cancer Research Network healthcare delivery systems in the United States.

methodsElectronic records were used to identify patient and tumor characteristics and treatment with trastuzumab. Chart abstraction was performed for 400 women (50 per site) to identify receipt of HER2 testing and results.

resultsMore than 90% of study participants received HER2 testing. Everyone who received trastuzumab had a HER2 test, and nearly all (>95%) who received trastuzumab had a positive HER2 test result recorded in their medical chart. Most (77%) eligible patients with a positive HER2 test result diagnosed after 2005 received trastuzumab. This study expands upon previous work in individual health plans.

conclusionsHER2 status has been successfully incorporated into medical practice to guide treatment decisions for breast cancer patients in diverse integrated healthcare delivery settings.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic AgentsBreast NeoplasmsElectronic Health RecordsErb-b2 Receptor Tyrosine KinasesFemaleGenetic TestingHumansImmunohistochemistryIn Situ Hybridization, FluorescenceMulticenter Studies as TopicTrastuzumabUnited StatesAntibodies, Monoclonal, HumanizedAntineoplastic AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumab

Identifiers

PMID23198713
PMCPMC4061608
OpenAlexW114054673

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.